Shelley A Simmering, CPED

Primary specialty

SpecialistTaxonomy code 174400000X

License

212-000134 Issued in IL

Practice address

303 N 2ND St
Suite 10
St Charles, IL 60174-1804

Phone

(630) 740-6331

Fax

(630) 587-5537

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1790942183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N 2ND ST",
            "address_2": "SUITE 10",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741804",
            "telephone_number": "630-740-6331",
            "fax_number": "630-587-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 2ND ST",
            "address_2": "SUITE 10",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741804",
            "telephone_number": "630-740-6331",
            "fax_number": "630-587-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERING",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "212-000134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ava Simon
• Camille R Simon
• Kathleen Boswell Simon, APN
• Holly Simpson, MSW
• Shelly Sinatra, CNP

• Specialist in St Charles, IL
• Providers in St Charles, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.